E/M Coding: 3 Questions Get to the Heart of Physical Exam Guideline Options

1995 vs. 1997 guidelines: Limit yourself to one set per claim.

Whether you need a quick link to 1995 and 1997 E/M guidelines or a refresher on how the guidelines differ for the exam component, the answers to three FAQs can help keep your physical exam selection on track.

1. Where Do I Find Exam Level Guidelines?

There are two sets of guidelines you should be familiar with before trying to determine the level of the physicalexamination key component for your E/M coding: 1995 and 1997 guidelines. You may download them from www.cms.gov/MLNEdWebGuide/25_EMDOC.asp.

Either set of guidelines can help you determine which [...]

- Published on 2011-08-05